| NPI | 1497137137 |
|---|---|
| Former Name | SARA B DANITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 11190) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: RI PS01699) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2020-01-27 |